HESI PEDIATRIC TEST BANK 2026 {ALREADY GRADED A+ } NEWEST VERSION

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HESI PEDIATRIC TEST BANK 2026 {ALREADY

GRADED A+ } NEWEST VERSION

• A child is admitted with acute glomerulonephritis. The nurse would expect the UA

during this acute phase to show which of the following?

• Bacteriuria, hematuria
• Hematuria, proteinuria
• Bacteriuria, increase specific gravity
• Proteinuria, decreased specific gravity

Correct Answer: B

• A two year old has had one bout of nephrosis (nephrotic syndrome). His mother

suspected a recurrence when she observed swelling around his eyes. The nurse helps to confirm the condition by recognizing what additional symptom?

• Blood pressure 140/90
• Marked proteinuria
• Tea colored urine
• A history of positive strep infections

Correct Answer: B

• A six week old infant is brought to the pediatricians office for a well-baby visit.

During examinations the physician displaces the femoral head and reduces it back into place by manipulation of the thighs and hips. The nurse recognizes that the

physician is assessing:

• Barlow and Ortolani tests for developmental dysplasia of the hip
• Gower test for developmental dysplasia of the hip
• Pavlik test for developmental dysplasia of the hip

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• Trendelenburg test for developmental dysplasia of the hip

Correct Answer: A

• A 10 year old is admitted with possible appendicitis. The doctor's history and

physical indicates a WBC count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6?nds. The patient complains of abdominal pain, localized at McBurney's point. Which statement most accurately describes the data?

• Lab work reveals a left shift and pain localized in the right lower quadrant
• Lab work reveals a right shift and pain localized in the left upper quadrant
• Lab work reveals normal findings with pain localized in the epigastric area.
• Lab work reveals a possible viral infection with pain localized in the left upper quadrant.

Correct Answer: A

• A newborn has just been delivered via C-Section with a myelomeningocele which

was detected pre-natally via amniocentesis. The child is scheduled to have surgery within the first 48 hours. Which of the following nursing actions is appropriate?

• Place child in semi-fowlers position to decrease pressure on the spinal cord
• Apply heat lamp to facilitate drying and toughening of the sac
• Apply soft restraints to prevent disruption of the sac
• Assess head circumference and fontanels for signs of ICP.

Correct Answer: D

• A nurse is caring for a boy with probable intussusception. He had diarrhea before

admission but while waiting for administration of air pressure to reduce the intussusception he produced a normal brown stool. Which nursing action is the most appropriate?

• Notify practitioner
• Measure abdominal girth
• Auscultate for bowel sounds
• Take vital signs, including blood pressure.

Correct Answer: A

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• The nurse is evaluating a child who is being treated for nephrotic syndrome. Which

observation indicated successful treatment of nephrosis?

• Diuresis and weight loss
• Improved appetite and weight gain
• Increase in urine specific gravity
• Return of temperature and pulse to normal

Correct Answer: A

• A child with autism spectrum disorder (ASD) is admitted to the hospital with

pneumonia. The nurse should plan which priority intervention when caring for this child?

• Maintain a structured routine and keep stimulation to a minimum
• Communicate at child's level and maintain eye contact
• Use therapeutic touch to calm child with procedures
• Switch from one assessment activity to another quickly?

Correct Answer: A

• The mother of a 1 month old infant tells the nurse she worries that her baby will get

meningitis like her oldest son did when he was an infant. The nurse should base her response on which statement?

• Meningitis rarely occurs during infancy, however after the first year of life, it is more

common.

• Often a genetic predisposition to meningitis is found and family members are more likely

to get it.

• Vaccination to prevent all types of meningitis is now available and should be

administered at 6 months.

• Vaccination to prevent Haemophilus influenzae type B meningitis has decreased the

frequency of this disease in children.

Correct Answer: D

• A child has been admitted to the pediatric unit with suspected meningitis. The CSF

analysis reveals the following: Appearance: Clear, WBC: within normal limits, Protein:

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within normal limits, Glucose: within normal limits, Culture: negative. Based on the

results, the nurse suspects that the child has:

• Bacterial Meningitis
• Meningococcal meningitis
• Viral meningitis
• Hydrocephalous

Correct Answer: C

• A young child is brought to the emergency room with suspected meningitis. Blood

work with cultures, a urine specimen with a culture and sensitivity, and the spinal tap were completed in the ER and he is being admitted to the pediatric unit for continued care. Which of the following is a major priority of nursing care?

• Encourage oral intake of clear liquids. Progress diet as tolerated
• Initiate isolation procedure if warranted after the CSF analysis is completed.
• Initiate isolation procedure immediately and administer ordered antibiotics
• Administer sedatives/analgesic on a prescribed schedule to manage pain.

Correct Answer: C

• The nurse is caring for a 4-year old child immobilized by a fractured leg. Which

complication should the nurse monitor related to the childs immobilization status.

• The metabolic rate increases.
• Increased joint mobility leading to contractures
• Hypocalcemia due to release of excess calcium
• Venous stasis leading to thrombi or emboli formation.

Correct Answer: D

• An adolescent who has chronic SCFE (slipped capital femoral epiphysis) sustains a

fall during gym class and is transported to the hospital with severe pain. Which is the most appropriate explanation for what happened.

• The child has probably experienced a fracture
• The child has experienced an acute on chronic phenomenon